Psychiatry Pharm: Indications, helpful mnemonics

Question 1

Try to Fly High- class of drugs

Answer 1

High Potency typical antipsychotics: block D2 and alpha 1 receptors

have high EPS, less specific symptoms like galactorrhea, amenorrhea

Question 2

Cheating Thieves are Low- class of drugs

Answer 2

Low Potency typical antipsychotics,

Question 3

Try to Fly High- Drugs

Answer 3

Trifluoperazine, fluphenazine, haloperidol

Question 4

Cheating Thieves are Low- Drugs

Answer 4

Chlorpromazine, Thioridazine

Question 5

Why are cheating thieves low?

Answer 5

because they have less neurological effects and more anticholinergic effects

Question 6

Why makes high potency anti psychotics high potency?

Answer 6

more neurological effects, more extrapyramidal effects

Question 7

what are the suffixes for atypical antipsychotics?

Answer 7

-peridone, -idone, -apine

Question 8

two odd ball atypical antipsychotics

Answer 8

Ariprazole (partial D2 agonist) and clozapine (agranulocytosis)

Question 9

what makes atypicals different from typical?

Answer 9

varied effects- Dopamine Rs, 5HT2Rs, alpha and histamine receptors.

Question 10

Indication: ADHD

Answer 10

stimulants

Question 11

Indication: Alcohol withdrawal

Answer 11

benzodiazepines

Question 12

Indication: bipolar disorder

Answer 12

lithium and several others

Question 13

bulimia nervosa

Answer 13

SSRIs

Question 14

depression

Answer 14

SSRIs

Question 15

Generalized anxiety disorder

Answer 15

SSRIs, SNRIs

Question 16

Obsessive-compulsive disorder

Answer 16

SSRIs, venlafaxine, clomipramine

Question 17

Panic disorder

Answer 17

SSRIs, venlafaxine, benzeodiazapines

Question 18

PTSD

Answer 18

SSRIs, venlafaxine

Question 19

Schizophrenia

Answer 19

atypical antipsychotic,

Question 20

social anxiety disorder

Answer 20

SSRIs, venlafaxine

Question 21

performative social anxiety disorder drugs

Answer 21

b-blockers, benzodiazepines

Question 22

chlorpromazine: class, tx, SE

Answer 22

low potency antipsychotic

used for intractable hiccups. SE: corneal/lens pigmentation

Question 23

thioridazine: : class, tx, SE

Answer 23

low potency antipsychotic, used to treat overdose with bicarb (wolfpacc handout), SE retinal dispigmentation

Question 24

atypical antipsychotics MOA

Answer 24

block D4, 5HT2. minimal side effects.

Question 25

blocks reuptake of NE and 5HT

Answer 25

TCAs

Question 26

blocks 5HT reuptake

Answer 26

SSRIs

Question 27

blocks D2 receptors

Answer 27

antipyschotics

Question 28

SIG E CAPS

Answer 28

Major Depressive Disorder Sleep disturbances, Loss of interest, Guilt of feelings of worthlessness, Energy loss/fatigue, Concentration problems, Appetite/weight changes, Psychomotor retardation or agitation, suicidal ideations

Question 29

TriC

Answer 29

Tricyclic Antidepressant toxicity: Convulsions, Coma, Cardiotoxicity (arrythmia)

Question 30

Malignant FEVER

Answer 30

Neuleptic Malignant Syndrome: Myoglobinuria, Fever, Encephlopathy, Vitals unstable, Increased Enzymes (CK goes up), Rigidity of Muscles ("lead pipe"), and hyperthermia

Question 31

the Three C's of TriC

Answer 31

Tricyclic Antidepressant toxicity: Convulsions, Coma, Cardiotoxicity (arrythmia)

Question 32

Weird, Wild and Worried

Answer 32

Weird: Cluster A personality disorders: accusatory, aloof, awkward Wild: Cluster B personality disorders: Bad, Borderline, flamBoyant, but be the Best Worried: Cluster C personality disorders: Cowardly, obsessive Compulsive, clingy

Question 33

PTSD is HARD

Answer 33

Hyperarousal, Avoidance of associated stimuli, Rexperiencing events, DISTRESS/horror/fear (changes in mood)

Question 34

SAD PERSONS

Answer 34

``` Suicide RFs Sex (male), Age (young adult/elderly), Depression, Previous attempt, Ethanol/drug abuse, Rational thinking loss (psychosis), Sickness (medical illness), Organized plan, No spouse or other social support, State future intent ```

Question 35

DIG FAST

Answer 35

Manic Episode: flight of ideas (racing thoughts), Agitation/increased Activity with specific goal in mind, decreased need for Sleep, Talkativeness or pressured speech